
Everything that matters about balance sheet preparation for medical practices
Whether you run a Sàrl, an SA or a sole proprietorship, balance sheet preparation eventually lands on your desk. Here are the practical reference points — legal basis, deadlines and common pitfalls — to decide with a clear head.
Year-end closing: how the mechanics work
The CO's accounting principles frame the closing: regularity, prudence and consistency of presentation (art. 958c CO), on the going-concern assumption (art. 958a CO). In practice, that means valuation methods kept constant from one year to the next — and documented whenever they change.
A well-ordered closing file speeds everything up: bank statements at the closing date, a signed inventory, final AHV/LPP/accident settlements, new or amended contracts, and support for the accruals. Balance sheet preparation then finishes in days, not weeks.
Outsource balance sheet preparation or keep it in-house?
The Swiss fiduciary market is dense and governed by professional practice: industry standards, business secrecy, civil liability. Compare offers on three concrete criteria — exact scope (data entry? closing? payroll? VAT?), a named contact person, and the tools used. It prevents year-end misunderstandings.
For balance sheet preparation, a quarterly 30-minute check-in with the fiduciary beats an annual marathon: questions get handled while they are small.
The Swiss legal frame for balance sheet preparation
Responsibility for the books is personal: in an SA, organising the accounting is one of the board's non-transferable duties (art. 716a CO); in a Sàrl, the managing directors carry the same duty. Outsourcing the execution never transfers that underlying responsibility.
Late books show from the outside: poorly calibrated tax instalments, provisional filings, slow answers to the bank. Staying current is also a matter of image.

A well-structured SME chart of accounts
Shareholder current accounts demand strict hygiene: every private withdrawal documented, interest at the rates accepted by the tax administration, and a clean-up at closing.
For balance sheet preparation, a few well-chosen analytical accounts (by activity, by site) beat a forest of sub-accounts nobody ever reads.
A Swiss SME's accounting calendar
The typical annual cycle: monthly or quarterly AHV instalments, VAT returns (quarterly under the effective method, semi-annual under the net tax rate), the final salary declaration in January, closing in the first half-year, then the tax return and the annual VAT reconciliation. Each link depends on the quality of the previous one.
The useful reflex: date every obligation the moment it arises. An employee hired means AHV/LPP deadlines created; VAT registration means a filing cycle set; a closing date fixed means backward planning of the close. Well organised, the balance sheet preparation calendar fills itself.
Frequently asked questions
What is simplified bookkeeping and who can use it?
Sole proprietorships and partnerships under CHF 500,000 of revenue may limit themselves to recording income, expenses and assets (art. 957 para. 2 CO). Once over the threshold — or upon founding a Sàrl or an SA — full accounts with balance sheet, income statement and notes become mandatory.
Can balance sheet preparation be automated with AI?
Largely, yes: automatic document reading, posting suggestions, bank reconciliation via QR references and VAT exports. Human approval remains essential — AI prepares, the professional checks. That is exactly how MyFiducia.ai approaches balance sheet preparation.
What is the difference between a limited and an ordinary audit?
The ordinary audit applies to companies exceeding, for two consecutive years, two of three thresholds: CHF 20 million balance sheet total, CHF 40 million revenue, 250 full-time positions. Others fall under the limited audit, and those with no more than ten full-time positions on annual average can opt out with all shareholders' consent.
When is entry in the commercial register mandatory?
A Sàrl and an SA only come into existence with their registration. A sole proprietorship must register from CHF 100,000 of annual revenue; below that, registration stays voluntary but adds credibility and protects the business name.
Also worth reading
This guide by municipality
Switch to accounting that keeps itself up to date
MyFiducia.ai automates balance sheet preparation for Swiss SMEs: AI-read documents, posting suggestions, VAT and exports ready for your fiduciary. Try the platform or browse our other guides.
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